Claims Processing Jobs in USA

OverviewWho We AreBecause health is personal. Thats why Personify Health created the first and only personalized health platformbringing health plan administration holistic wellbeing solutions and comprehensive care navigation together in one place. We serve employers health plans and health systems...

The Manager Coding and Revenue Integrity (RI) is responsible for managing all aspects of day-to-day coding operations coding education and RI functions. This includes planning monitoring updating and directing all activities pertaining to coding coding and RI audits and charge capture. This role wil...

Minimum Hiring Wage:From $18.89 per hourJob Details:Scheduled hours: Days/EveningsWeekend Requirement: Every 3rd weekend Holidays: 2 holidays a year (one Spring/Summer and one Fall/Winter)Job Description:A Brief OverviewThe Patient Access Associate serves as the first point of contact for patients f...

Primary DetailsTime Type: Full timeWorker Type: EmployeeThe Opportunity: The purpose of this role is to oversee the examination evaluation and processing of complex Claims estimates and paid Claims values ensuring adherence to policy terms and conditions in alignment with the QBE Claims Philosophy....

HelloThank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application:Provide all of your employment history education and licenses/certifications/registrations. You will be unable...

DescriptionSUMMARYProvides strategic leadership direction and development for the Retailer Claims Operations team overseeing functions that include NorthStar system configurations Transportation Audio Exchange Program Added Security Warranty Analysis and Vendor Recovery. Ensures ongoing quality of s...

DescriptionHealthPartners is hiring a Director of Provider Operations. This role provides strategic and operational leadership for Provider Operations with accountability for provider enrollment provider data and directory operations network maintenance and configuration trading partner connectivity...

Anticipated End Date:Position Title:Agency Service Rep II (US)Job Description:Agency Service Representative IIShift: M-FLocation: Virtual -This role enables associates to work virtually full-time except for required in-person training sessions providing maximum flexibility and autonomy. This approac...

Maven is the worlds largest virtual clinic for women and families on a mission to make healthcare work for all of us. Mavens award-winning digital programs provide clinical emotional and financial support all in one platform spanning fertility & family building maternity & newborn care parenting & p...

Anticipated End Date:Position Title:Financial Ops Recovery Process SpecialistJob Description:Financial Ops Recovery Process Specialist Virtual: This role enables associates to workvirtually full-time except for required in-person training sessions providing maximum flexibility and autonomy. This app...

We are recruiting for a mission-driven Claims Audit Analyst - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement) to join our team!Were with you for lifes journey. At Denver Health purpose isnt just something we believe inits something we live every day for lifes journey....

About AnthropicAnthropics mission is to create reliable interpretable and steerable AI systems. We want AI to be safe and beneficial for our users and for society as a whole. Our team is a quickly growing group of committed researchers engineers policy experts and business leaders working together t...

Would you like to take ownership in a dynamic high-growth business that truly walks the talkOswald Companies seeks goal-driven professionals ready to take their career to the next level.Job Summary: Responsible to provide internal support to an account management team for an assigned book of busines...

Sun Life U.S. is one of the largest providers of employee and government benefits helping approximately 50 million Americans access the care and coverage they need. Through employers industry partners and government programs Sun Life U.S. offers a portfolio of benefits and services including dental...

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC your contributions matter and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% p...

DescriptionPurpose of Position:To support account management ticketing from our broker partners and our internal W&B staff.Account management ticketing includes but is not limited to provider/RX search claims processing eligibility policy changes research and online enrollment support.Position may r...

Inspire health. Serve with compassion. Be the difference.Job SummaryProviding strategic and operational leadership for multiple clinical practices ensuring high-quality compliant and efficient operations aligned with the organizations mission and strategic plan. The position oversees daily business...

MicroHealth is seeking an experienced and strategicSenior Revenue Cycle Management Project Managerto lead enterprise-level financial initiatives within healthcare organizations. This senior-level position requires a dynamic leader withextensive hands-on management experience (10 years minimum)who ca...

Position/Program InformationTYPE OF RECRUITMENT:OPEN COMPETITIVE - EMERGENCYEXAM NUMBER:CA0647A-EAFILING DATE:We will be accepting online applications from Tuesday June 30 2026 at 8:00 a.m. (PT) until Thursday July 2 2026 5:00 p.m. (PT). All applications must be receivedbefore5:00 p.m. (PT) on Thurs...

2 slots available Title: Systems Analyst II (3 years of relevant experience) Client: BCBS Location: Detroit MI (Onsite 2 days/week) Duration: 6 Months Rate: $40/hr on W2 or $45/hr on C2C Visa: USC GC GC-EAD & H4-EAD (Locals only) Prioritise W2 profiles MOI : Video Engagement Description Resourc...